Johanna Davis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R058417 Issued in ME

Practice address

8 South Main St
Madison, ME 04950

Phone

(207) 696-3992

Fax

(207) 696-3974

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthreach Community Health CentersGroup PAC ID 5496726523, shared by 12 NPIs, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314
• Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316
• Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Madison, ME
  • NPI 1184698441
  Medicare reassignment NPD
• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Belgrade, ME
  • NPI 1851364632
  Medicare reassignment NPD
• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Fairfield, ME
  • NPI 1285302893
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mainehealth

  • Critical Access Hospital
  • Farmington, ME
  • NPI 1922791417
  Care Compare affiliation
• Redington-Fairview General Hospital

  • Critical Access Hospital
  • Skowhegan, ME
  • NPI 1174549133
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1154677334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 DALLAS HILL RD",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "049700569",
            "telephone_number": "207-864-2699",
            "fax_number": "207-864-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTH MAIN ST",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "04950",
            "telephone_number": "207-696-3992",
            "fax_number": "207-696-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R058417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jane Carbone, LCSW
• Tammy Lynn Carrier, LMT
• Madison Willson Chadbourne, LMSW-CC
• Fiona Champagne
• Catherine Colby, LCSW
• Stephen J Dickey, NP
• Stacy Lynn Dill
• Discovery House WC, Inc.
• Leonor Pilar Donayre, LCSW
• Dr Andrew D Friedman DMD

• Family Nurse Practitioner in Madison, ME
• Providers in Madison, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.